MRI诊断腕关节舟状骨可疑性骨折临床价值分析  

Early MRI diagnosis for occult scaphoid fractures

作　　者：郭福庆[1] 郭福倩 兰国宾[1] GUO Fuqing;GUO Fuqian;LAN Guobin(Department of Radiology,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Cangzhou 061000,P.R China;The Second Hospital of Hebei Medical University,Shijiazhuang 050000,P.R.China)

机构地区：[1]河北省沧州中西医结合医院影像中心,河北沧州061000 [2]河北医科大学第二医院,河北石家庄050000

出　　处：《医学影像学杂志》2018年第5期837-840,共4页Journal of Medical Imaging

基　　金：河北省医学科学重点研究课题(编号:2017370)

摘　　要：目的探讨腕关节舟状骨骨折MRI的诊断价值。方法对怀疑舟状骨骨折的腕关节外伤54例患者行X线检查,筛选出未观察到骨折线的患者进一步行腕关节MRI检查。采集患者的年龄、性别、致伤原因、X线及MRI资料进行分析。结果本研究共纳入可疑性舟状骨骨折患者54例,其中男性38例,女性16例,平均年龄36.3岁。受伤机制为高处坠落、跌倒、运动损伤和交通意外等。腕关节MRI显示正常者15例,骨折患者16例和其他损伤患者23例。其中舟状骨骨折11例,其他单发骨折5例。结论腕关节MRI在可疑性舟状骨骨折的诊断和治疗中具有重要作用。Objective Scaphoid fractures are the most common fractures of the carpus. The diagnoses of scaphoid fractures,after an initial inconclusive X-ray,relay on radiologists＇ opinions commonly. We try to investigate the value of MRI in occult scaphoid fractures by analyzing the data of patients with wrist injuries. Methods The patients with suspected scaphoid fractures coming to hebei province cangzhou hospital of integrated traditional and western medicine between 2010 and 2015 were performed X-rays and the patients without fractures on initial plain X-ray underwent a MRI scan. We collected and analyzed the data of patients＇ age,gender,injury causes and radiographic images. Results 54 patients were recruited in this study with the average age of 36. 3 years,including 38 males（70. 4%） and 16 females（29. 6%）. 16（29. 6%） out of 54 were diagnosed with fractures and 23 patients（42. 6%） with other injure. Conclusion Results of this study demonstrated a major role that MRI should play in management of suspected scaphoid fractures. We strongly recommend the application of MRI in the early stage of occult scaphoid fractures.

关 键 词：可疑性 舟状骨骨折 磁共振成像 

分 类 号：R681[医药卫生—骨科学] R445.2[医药卫生—外科学]